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Leuprolide Acetate Implant

New York rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Rates data updated October 2026.

How much does Leuprolide Acetate Implant cost?

$5,129per 65 mg

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $5,129 for each 65 mg of this drug. The price depends on where it is billed: about $5,129 from a physician practice, and about $5,129 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 65 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$5,129
At a hospital outpatient department
$5,129

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,129$4,786 to $6,026
FacilityA hospital or hospital-owned outpatient department$5,129$4,571 to $6,761

How much rates vary

Facilitymedian $5,129 · 10th to 90th $3,890 to $9,333Professionalmedian $5,129 · 10th to 90th $3,311 to $7,586
$0.1$1$10$100$1K$10Kfacility $5,129professional $5,129

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$4,466.84
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$660.69
Median
$660.69
Typical High
$776.25
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$501.19
Median
$501.19
Typical High
$575.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$331.13
Median
$331.13
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$4,786.30
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$12,022.64
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,623.41
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$5,623.41
Median
$6,025.60
Typical High
$7,585.78
Univera
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$5,128.61
Typical High
$5,128.61
Univera
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$5,128.61
Typical High
$5,128.61

Where New York sits

The same service costs 1.5 times more in Alaska than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 17th of 51

$5,129

AK $6,457ID $4,169

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.